Traumatic Aneurysm of the Superior Cerebellar Artery

Gjertsen, Øivind; Ph, Nakstad; Pedersen, Henrik D.; Josefsen, Roger

doi:10.1177/159101990701300207

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Not unlike the experience of others we have seen fewer reports of traumatic aneurysms in connection with severe head traumas following the introduction of CT as the primary radiolog- ical tool in head traumas. In the late 70`s and early 80`s when cerebral angiography was still an important tool in diagnosing the nature of damage to the brain, traumatic aneurysm seemed to be more frequently reported 7,8,9,10,11 . In later years reports have been more sporadic 12,13 .…”

Section: Discussionmentioning

confidence: 99%

Correlation of Head Trauma and Traumatic Aneurysms

2008

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Subarachnoid hemorrhage following severe trauma to the head is relatively common. In most cases the bleed originates from superficial veins and occasionally from arteries. Following the replacement of cerebral angiography with CT in the diagnostic evaluation of head traumas fewer traumatic aneurysms have been observed. This may indicate that some traumatic aneurysms are missed if angiographic procedures are not performed in patients with severe head injury. Trauma patients admitted to our institution are submitted to CT including a bone algorithm. In case of subarachnoid hemorrhage, especially in the basal cisterns, CT- angiography is performed. Digital subtraction angiography is performed as well in cases with uncertain interpretations. During one year 81 patients were admitted with subarachnoid hemorrhage following head trauma. Thirteen (16%) of them underwent CT-angiography and in five (6.2%) with SAH in the basal cistern traumatic aneurysms were found. Four of these cases had a skull base fracture including fractures through the clivus. Four cases were embolized and one very small extradural aneurysm is still not treated. One small pericallosal aneurysm was operated. A traumatic aneurysm should always be suspected n patients with skull base fractures and subarachnoid hemorrhage in the basal cisterns.

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Section: Discussionmentioning

confidence: 99%

Correlation of Head Trauma and Traumatic Aneurysms

2008

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“… 11 In fact, during the pre-CT era, when angiograms were used as first-line surveys, TAs were diagnosed early. 10 , 16 Currently, noncontrast CT is instead routinely used to screen TBI; thus, TA tends to be overlooked at primary surveys. Our review of the older reports showed that TAs are probably present immediately after injury.…”

Section: Discussionmentioning

confidence: 99%

“… 7 So far, there is a paucity of reports of TA found at the superior cerebellar artery (SCA). 1 , 8 , 10–12 We hereby report a lesson learned from a case of SCA-TA after head injury. We also review the literature and discuss the diagnosis and treatment of this entity.…”

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confidence: 93%

Traumatic aneurysm at the superior cerebellar artery: illustrative case

Yeap¹,

Chung

Chen³

2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Traumatic aneurysms at the superior cerebellar arteries after head injury are extremely rare and may be overlooked. Rupture of these aneurysms can cause fatal intracranial hemorrhages; thus, early identification of the entity helps prevent detrimental outcomes. OBSERVATIONS A patient suffered from sudden severe headache and decreased consciousness level several weeks after a blunt head injury. He received surgery to remove a progressive enlarging subdural hematoma. The diagnosis of a traumatic aneurysm at the superior cerebellar artery was delayed, made only after a recurrent subdural hemorrhage occurred. He received another surgery to obliterate the aneurysm. LESSONS The patient could have been treated earlier if traumatic aneurysm had been suspected in the beginning. In addition to the case, the authors also reviewed the literature to clarify the pathophysiology, clinical presentation, diagnosis, and management of the disease.

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“…The argument was the lack of educated neuroradiologists in their hospital. The well documented complexity 28 and small numbers of neuroradiological procedures in their own country was not considered [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…Publication of scientific papers: Publishing of scientific papers in international and Norwegian peer review journals has been limited to the two largest institutions in Oslo [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . Scientific publishing in cooperation with international institutions has been limited to these two hospitals as well [16][17] .…”

Section: Hour Service: Only the Two Institutions Inmentioning

confidence: 99%

Vascular Interventional Neuroradiology in a Country with a Small and Scattered Population Twenty Years' Experience in Norway

Nakstad

2008

Interv Neuroradiol

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Experience with neuroradiological endovascular therapy in a small country is presented. Five Norwegian university hospitals are currently performing coiling of cerebral aneurysms and three are embolizing cerebral arteriovenous malformations. The small number of procedures in most of these institutions may threaten the quality of treatment, education of neuroinradiologists, research and scientific work in this field. An even greater concern might arise in the field of neurosurgery after the reduction in surgical procedures following the increasing takeover by endovascular procedures. The safety during transportation of patients with subarachnoid hemorrhage has been debated and is considered by some as a problem, but earlier experience from Nordic countries does not support this concern. Reducing the number of centres performing these procedures seems necessary to obtain adequate patient safety and an ethical practice.

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Traumatic Aneurysm of the Superior Cerebellar Artery

Cited by 5 publications

References 20 publications

Correlation of Head Trauma and Traumatic Aneurysms

Correlation of Head Trauma and Traumatic Aneurysms

Traumatic aneurysm at the superior cerebellar artery: illustrative case

Vascular Interventional Neuroradiology in a Country with a Small and Scattered Population Twenty Years' Experience in Norway

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